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WP0042809
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042809
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Entry Properties
Last modified
3/16/2022 1:27:21 PM
Creation date
3/16/2022 12:12:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042809
PE
4372
STREET_NUMBER
0
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95206-
APN
07113018
ENTERED_DATE
12/8/2021 12:00:00 AM
SITE_LOCATION
0 HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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WITNESS MY HAND this /—G}hday of 00o6er- 2021. <br />�l <br />Print Name <br />DACW05-8-21-0112 <br />---EL 14", <br />Signature <br />Print Name Signature <br />Contact Information: <br />Name ! <br />_ <br />(Z09)` -f �? � - <br />Telephone <br />Icge- Ala V,V-,qr> <br />Mailing address <br />76, 0-0 — <br />Best time to be reached. <br />UNITED STATES OF AMERICA <br />Digitally signed by <br />N&LISA.M. NG.LISA.M.117449932 <br />1174499329 Date: 2021.11.05 <br />14:18:11 -07'00' <br />Lisa M. Ng Date <br />Deputy Chief, Real Estate <br />Real Estate Contracting Officer <br />
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